Organization
GREAT LAKES CHIROPRACTIC OF ST. MICHAEL PLLC LTD
Active
Other names
Great Lakes Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIMBERLY MARTIN DC (CHIROPRACTOR/OWNER)
(763) 515-6650
Entity
Organization
Contact information
Practice address
116 CENTRAL AVE E, SAINT MICHAEL, MN 55376
(763) 515-6650
Mailing address
116 CENTRAL AVE E, SAINT MICHAEL, MN 55376-9511
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/06/2018
Last updated
05/29/2018
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